Objective:To compare the clinical results of the distal clavicular anatomical plates using suture anchor and clavicular hook plates for the treatment of distal clavicular fractures. Methods: From March 2011 to March 2013,83 patients with clavicular unstable fractures,who were treated and followed up,were analyzed by retrospective analysis. Forty-five patients were treated with the distal clavicular anatomical locking plates with using the suture anchor (Group A),while the rest 38 patients were treated by clavicular hook plates (Group B). The general conditions,fracture healing times,physical functions of shoulder joint especially in upthrow,backward extension,extorsion and intorsion,as well as Constant—Murley scores were followed up periodically and compared between the two groups. Results: No significant differences were found in the fracture healing,incision length and blood loss (P > 0.05). Patients in Group A presented better physical functions of shoulder joint especially in upthrow,backward extension,extorsion and intorsion,as well as a higher Constant—Murley score,compared with Group B (P < 0.05). Conclusion: For the treatment of distal clavicular unstable fractures,the distal clavicular anatomical locking plates using the suture anchor achieves good clinical results,especially in the shoulder joint function recovery.